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ESPANOLA SPORTS MEDICINE
NPI 1982777850
Clinic/Center - Rehabilitation in Espanola, NM

Active since November 16, 2006
708 LA JOYA ST, ESPANOLA, NM 87532(505) 753-6550(505) 753-1219 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 31, 2023, Mar 28, 2018 (2 updates tracked since 2018).

About Espanola Sports Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESPANOLA SPORTS MEDICINE (NPI 1982777850) is a healthcare organization registered as a rehabilitation in Espanola, New Mexico and active in the NPI registry since November 2006. The organization lists Theresa Lynn Godfrey, Senior Accountant, as its authorized official.

NPPES Registry Identity

NPI1982777850
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameESPANOLA SPORTS MEDICINE, PA
Location Address708 LA JOYA STEspanola, NM 87532-2511
Mailing Address708 La Joya StEspanola, NM 87532-2511 · (505) 753-6550 · Fax (505) 753-1219
Phone(505) 753-6550
Fax(505) 753-1219
Organization SubpartNo
Authorized OfficialTheresa Lynn GodfreySenior Accountant · (402) 334-1919
Enumeration DateNovember 16, 2006
Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1982777850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
Also ListedPhysical TherapistTaxonomy 225100000X · License 6628 (NM)
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 6628 (NM)
708 LA JOYA ST, Espanola, NM 87532
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Other Names 1

Doing Business AsEspanola Sports Medicine

Other Identifiers 1

MedicaidR5803NM

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Espanola Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Espanola Sports Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Emma Moore
Physical Therapist in Private Practice
NPI 1386575272
708 LA JOYA ST
Espanola, NM 87532
(505) 753-6550
Same address
Marian Bradbury, P.T.
Physical Therapist in Private Practice
NPI 1942324900
706-D LA JOYA
Espanola, NM 87532
(505) 753-6550
✔ Accepts MedicareSame address
Joan Adelsky
Physical Therapist in Private Practice
NPI 1306323829
147 CANDELARIO ST APT C
Santa Fe, NM 87501
(505) 692-5267
✔ Accepts Medicare22 mi
Kathryn Harrell
Qualified Speech Language Pathologist
NPI 1003409285
1800 OLD PECOS TRL
Santa Fe, NM 87505
(505) 424-8777
24 mi
Laura Davis, OT
Occupational Therapist in Private Practice
NPI 1346797883
10 MESA SEA RD
Arroyo Hondo, NM 87513
(575) 779-6682
✔ Accepts Medicare42 mi
Micaela Gilpin, DPT
Physical Therapist in Private Practice
NPI 1043987472
11719 MENAUL BLVD NE
Albuquerque, NM 87112
(505) 345-8050
✔ Accepts Medicare66 mi
Briana Bustos, CCC-SLP
Qualified Speech Language Pathologist
NPI 1164952958
1350 HILLRISE CIR
Las Cruces, NM 88011
(575) 522-9500
✔ Accepts Medicare258 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Espanola Sports Medicine, PA's NPI number?

The NPI number for Espanola Sports Medicine, PA is 1982777850. It was assigned to this organization in the NPPES registry on November 16, 2006. The provider is doing business as Espanola Sports Medicine.

Where is Espanola Sports Medicine, PA located?

Espanola Sports Medicine, PA is located at 708 La Joya St, Espanola, NM 87532. The listed phone number is (505) 753-6550.

What is Espanola Sports Medicine, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Is Espanola Sports Medicine, PA enrolled in Medicare?

Yes. Espanola Sports Medicine, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Espanola Sports Medicine, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Espanola Sports Medicine, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (4), Qualified Speech Language Pathologist (2) and Occupational Therapist in Private Practice (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Espanola Sports Medicine, PA was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.